KIDS DENTISTREE OF IN, LLC (NPI# 1760048748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760048748 |
| Entity Type | Organization |
| Organization Name | KIDS DENTISTREE OF IN, LLC |
| Practice Address |
1602 W Mcclain Ave Scottsburg IN 47170-1161 |
| Mailing Address |
Po Box 437169 Louisville KY 40253-7169 |
| Practice Telephone | 5022548500 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | STEPHEN JAMES (CFO) |
| Authorized Official Telephone | 5022548500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kids Dentistree - Scottsburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588159339 | Kids Dentistree of In, LLC | Dentist | 7900 E Us Highway 36 Ste K, Avon, IN 46123-7791 | 2018-06-25 |
| 1699260984 | Kids Dentistree of In, LLC | Dentist | 11801 Brinley Ave Ste 100, Louisville, KY 40243-3006 | 2018-06-28 |
| 1922593821 | Kids Dentistree of In, LLC | Dentist | 3120 Blackiston Mill Rd, New Albany, IN 47150 | 2018-06-25 |
| Street Address |
1602 W MCCLAIN AVE |
| City | SCOTTSBURG |
| State | IN |
| Zip Code | 47170-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962065565 | Mfdc of Indiana, Inc | Dentist | 1606 W Mcclain Ave, Scottsburg, IN 47170 | 2019-04-18 |
| 1003211392 | Forefront Dermatology, S.c. | Dermatology | 1473 N Gardner St Ste A, C/o Scott Memorial Hospital, Scottsburg, IN 47170 | 2014-10-29 |
| 1154750800 | Kimberly Burns | Occupational Therapy Assistant | 545 W. Moonglo Rd, Scottsburg, IN 47170 | 2013-11-04 |
| 1700127800 | Janet M Buhse Md PC | Family Medicine | 941 W Mcclain Ave Ste C, Scottsburg, IN 47170 | 2013-03-14 |
| 1972826402 | Harold H Rumley | Counselor | 75 North First Street, Scottsburg, IN 47170 | 2010-03-11 |
| 1245497213 | Samaritan Behavioral Healthcare | Counselor | 969 W Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-05-19 |
| 1801061858 | Gardner Street Emergency Physicians | Emergency Medicine | 1451 N. Gardner Street, Scottsburg, IN 47170 | 2008-04-29 |
| 1689859621 | Samaritan Behavioral Healthcare | Counselor | 969 W. Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-01-09 |
| 1760674998 | Darshana Patel | Internal Medicine | 1467 Scott Valley Dr, Scottsburg, IN 47170 | 2007-08-12 |
| 1669663977 | Wwindell Go Ellorimo | Physical Therapist | 545 Moonglo Rd, Scottsburg, IN 47170 | 2007-08-05 |
| Find all providers in zip 47170 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186732 | Poplar Pediatric Dentistry LLC | Dentist | 6741 Lexington Cir, Zionsville, IN 46077-9164 | 2020-02-14 |
| 1265074710 | Hendricks Pediatric Dentistry, LLC | Dentist | 1557 Windview, Brownsburg, IN 46112-7641 | 2019-10-16 |
| 1134691090 | Dentistry Just for Kids and Orthodontics, LLC | Dentist | 1107 Ohio St, Terre Haute, IN 47807-3817 | 2018-12-17 |
| 1588159339 | Kids Dentistree of In, LLC | Dentist | 7900 E Us Highway 36 Ste K, Avon, IN 46123-7791 | 2018-06-25 |
| 1285128512 | Schulten Pediatric Dentistry - New Albany LLC | Dentist | 4317 Charlestown Rd, New Albany, IN 47150-8506 | 2018-06-20 |
| 1255843116 | John A. Bozc, D.d.s. PC | Dentist | 520 W Navajo St, West Lafayette, IN 47906-1999 | 2017-11-01 |
| 1316463607 | Emhardt Pediatric Dentistry LLC | Dentist | 1818 N Riley Hwy Ste B, Shelbyville, IN 46176-8572 | 2017-08-17 |
| 1194245225 | Sara Gholam | Dentist | 1121 W Michigan St Rm 280b, Indianapolis, IN 46202 | 2017-06-20 |
| 1245788066 | Eric Ladd, D.d.s. | Dentist | 555 W Us Highway 30, Schererville, IN 46375-2650 | 2016-09-21 |
| 1629443544 | Allison C Scully | Dentist | 1121 W Michigan Street Ds307b, Indianapolis, IN 46202-5186 | 2015-12-03 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBURG |
| Zip Code | 47170 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.